DOI: https://doi.org/10.14710/jpki.16.2.44-55

Kepatuhan Minum Obat Pencegahan Filariasis di Wilayah Kerja Puskesmas Waihaong dan Air Salobar Kota Ambon

Ressita Fannia Iwan  -  Fakultas Kedokteran, Universitas Pattimura, Indonesia
*Christiana Rialine Titaley orcid scopus publons  -  Fakultas Kedokteran, Universitas Pattimura, Indonesia
Yuniasih Taihuttu  -  Fakultas Kedokteran, Universitas Pattimura, Indonesia
Alison Krentel  -  School of Epidemiology and Public Health, University of Ottawa, Canada
Open Access Copyright (c) 2021 Authors under http://creativecommons.org/licenses/by-sa/4.0.

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Abstract

Background: Lymphatic Filariasis (LF) is an infectious disease caused by filarial worms and transmitted by mosquitoes. Mass drug administration (MDA) for LF is used in endemic areas to stop transmission and prevent disability due to LF. This study aims to identify factors associated with overall compliance with the MDA in 2018 in the catchment areas of Waihaong and Air Salobar Health Centers, Ambon. Method: This analysis used data derived from a survey conducted by the Faculty of Medicine Pattimura University, Ambon, in January 2019. We used information from 745 subjects who received LF drugs in both study areas. Logistic regression analysis was employed to determine factors associated with community compliance with taking filariasis drugs. Results: Our study found that only 67% of the community swallowed LF drugs (60,3% in Waihaong and 72,6% in Air Salobar). Higher compliance with swallowing the LF drugs was found in respondents living in the catchment area of Air Salobar Health Center (OR=2,01, 95%CI:1,42-2,86, P-value<0,001);with a high level of knowledge (OR=1,91, 95%CI:1,34-2,74, P-value<0,001 and with a high sense of trust towards the drugs deliverers (OR=4,93, 95%CI:2,17-11,22, Pvalue<0,001). Furthermore, respondents who felt a high moral obligation to take the drugs (OR=2,39, 95%CI:1,15-4,94, P-value=0,019); and received social support to take the drugs (OR=5,12, 95%CI:3,18-8,23, P-value<0,001) were also more likely to comply with treatment. This study shows that health promotion interventions to increase community awareness and knowledge are still required in Ambon City despite many rounds of mass drug administration. Various educational media and efforts to increase knowledge and capabilities of the drug deliverers are essential to improve community compliance with taking LF drugs.

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Keywords: lymphatic;filariasis;compliance;MDA;knowledge;ambon

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Section: Research Article
Language : ID
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  1. Yanuarni C. Faktor-Faktor Yang Berhubungan Dengan Kejadian Filariasis Di Puskesmas Tirto I Kabupaten Pekalongan. Fikkes J Keperawatan [Internet] 2015;8(1):73–86. Available from: https://jurnal.unimus.ac.id/index.php/FIKkeS/article/view/1903
  2. Kementrian Kesehatan Republik Indonesia. Infodatin : Menuju Indonesia Bebas Filariasis. Jakarta: 2018
  3. Kementerian Kesehatan Republik Indonesia. Peraturan Mentri Kesehatan Republik Indonesia No. 94 Tahun 2014. 2014
  4. Lymphatic filariasis : a handbook of practical entomology for national lymphatic filariasis elimination programmes. Switzerland: World Health Organization; 2013
  5. Kementrian Kesehatan Republik Indonesia. Data dan Informasi Profil Kesehatan Indonesia Tahun 2018. Jakarta: 2019
  6. Kementrian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2017. Jakarta: 2018
  7. WHO. WHO Lymphatic Filariasis Factsheet [Internet]. 2020 [cited 2021 Apr 25];Available from: https: //www.who.int/news-room/fact-sheets/detail/lymphatic-filariasis
  8. Kementrian Kesehatan Republik Indonesia. Situasi Filariasis di Indonesia. Infodatin Pus. Data dan Inf. Kementeri. Kesehat. RI2019;1–12
  9. Talle R. Situasi filarisasis dan pelaksaan POPM di kota Ambon. 2019
  10. Dahoklory H. Hubungan Pengetahuan dan Sikap Masyarakat Tentang Penyakit Filariasis Dengan Kepatuhan Minum Obat Filariasis di Wilayah Kerja Puskesmas Waihaong Kecamatan Nusaniwe. Fak. Kedokt. Univ. Pattimura; 2017
  11. Dinas Kesehatan Provinsi Maluku. Evaluasi Filariasis Maluku 2016. Ambon: 2017
  12. Kerjapy SL, Titaley CR, Sanaky M. Faktor-faktor Penerimaan Obat Pada Program Pemberian Obat Pencegahan Massal (POPM) Filariasis. J Pameri 2019;1(1):28–39
  13. Irawan AS, Boesri H, Nugroho SS. Program Nasional Untuk Eliminasi Filariasis Limfatik: Studi Kasus Di Kabupaten Pekalongan, Jawa Tengah. Vektora J Vektor dan Reserv Penyakit [Internet] 2018;10(2):95–102. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/vk/article/view/1057 doi :10.22435/vk.v10i2.8812.97-104
  14. Titaley CR, Worrell CM, Brant T, Krentel A. Development of Tools to Re-Orient Social Mobilization Strategies to Close the MDA Coverage- Compliance Gap. 2019
  15. Bab VI Profil Kota Ambon. In: Rencana Terpadu dan Program Investasi Infrastruktur Jangka Menengah Bidang Cipta Karya Kota Ambon. 2015. page 1–18
  16. Krentel A, Aunger R. Causal chain mapping: A novel method to analyse treatment compliance decisions relating to lymphatic filariasis elimination in Alor, Indonesia. Health Policy Plan [Internet] 2012;27(5):384–95. Available from: https://pubmed.ncbi.nlm.nih.gov/21712348/ doi :10.1093/heapol/czr048
  17. WHO. Control of Neglected Tropical Diseases [Internet]. 2020 [cited 2021 Apr 25];Available from: https://www.who.int/teams/control-of-neglected-tropical-diseases/lymphatic-filariasis/global-programme-to-eliminate-lymphatic-filariasis
  18. Lobo V, Bulu AK, Noshirma M. Pemberian Obat Massal Pencegah Filariasis di Desa Mbilur Pangadu Kabupaten Sumba Tengah. Media Penelit dan Pengemb Kesehat [Internet] 2018;28(3):167–74. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/mpk/article/view/530 doi :10.22435/mpk.v28i3.530
  19. Natsir M, Natsir N, Intan N. Faktor Yang Berhubungan Dengan POPM Filariasis Terhadap Penurunan Prevalensi Mikrofilaria Pasca Pengobatan Massal Tahun Ke 5 Di Kecamatan Buntu Batu Kabupaten Enrekang. J Komunitas Kesehat Masy [Internet] 2019;1(1):7–16. Available from: https://uit.e-journal.id/JKKM/article/view/244 doi :10.36090/jkkm.v1i1.244
  20. Nurlaila N, Ginandjar P, Martini M. Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pengobatan Masal Di Kelurahan Non Endemis Filariasis Kota Pekalongan. J Kesehat Masy [Internet] 2017;5(4):455–66. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/18662
  21. Prasetyowati H, Hodijah DN, Ipa M, Hendri J. Pengetahuan dan Karakteristik Individu: Studi Cakupan Kepatuhan Minum Obat Paska Pemberian Obat Massal Pencegahan Filariasis di Kabupaten Tangerang. Balaba J Litbang Pengendali Penyakit Bersumber Binatang Banjarnegara [Internet] 2019;15(2):179–90. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/blb/article/view/1975 doi :10.22435/blb.v15i2.1975
  22. Atik NS, Susilowati E. Hubungan tingkat pengetahuan dengan perilaku kesehatan reproduksi remaja pada siswa SMK Kabupaten Semarang. JIKA [Internet] 2021;5(2):45–52. Available from: http://e-journal.ar-rum.ac.id/index.php/JIKA/article/view/115
  23. Layli FM, Adi MS, Saraswati LD, Ginandjar P. Gambaran faktor-faktor kepatuhan minum obat dalam pelaksanaan POPM di kabupaten Semarang (Studi di wilayah kerj Puskesmas Gedangan Kecamatan Tuntang). J Kesehat Masy [Internet] 2020;8(2):256–63. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/26398
  24. Rohmana O, Badriah B, Komarudin K. Analisis Faktor Yang Mempengaruhi Kepatuhan Masyarakat Mengikuti Program POPM Filariasis. Poltekes Kemenkes Tasikmalaya [Internet] 2017;13(1). Available from: http://ejurnal.poltekkestasikmalaya.ac.id/index.php/BMI/article/view/86 doi :10.37160/bmi.v13i1.86
  25. Njomo DW, Kimani BW, Kibe LW, Okoyo C, Omondi WP, Sultani HM. Implementation challenges and opportunities for improved mass treatment uptake for lymphatic filariasis elimination: Perceptions and experiences of community drug distributors of coastal Kenya. PLoS Negl Trop Dis [Internet] 2020;14(12):1–21. Available from: http://dx.doi.org/10.1371/journal.pntd.0009012 doi :10.1371/journal.pntd.0009012
  26. Ghosh S, Samanta A, Seshadri K. Mass drug administration for elimination of lymphatic filariasis: Recent experiences from a district of West Bengal, India. Trop Parasitol [Internet] 2013;3(1):67–71. Available from: https://pubmed.ncbi.nlm.nih.gov/23961445/ doi :10.4103/2229-5070.113917
  27. Silumbwe A, Zulu JM, Halwindi H, Jacobs C, Zgambo J, Dambe R, et al. A systematic review of factors that shape implementation of mass drug administration for lymphatic filariasis in sub-Saharan Africa. BMC Public Health [Internet] 2017;17(1):1–16. Available from: https://pubmed.ncbi.nlm.nih.gov/28532397/ doi :10.1186/s12889-017-4414-5
  28. Alini A, Indrawati I. Efektifitas Promosi Kesehatan Melalui Audio Visual Tentang Pemeriksaan Payudara Sendiri (SADARI) Terhadap Peningkatan Pengetahuan Remaja Putri Tentang SADARI Di SMAN 1 Kampar Tahun 2018. J Ners Univ Pahlawan [Internet] 2018;2(2):1–9. Available from: https://journal.universitaspahlawan.ac.id/index.php/ners/article/view/187
  29. Haryani S, Sahar J, Sukihananto S. Penyuluhan Kesehatan Melalui Media Cetak Berpengaruh Terhadap Perawatan Hipertensi Pada Usia Dewasa Di Kota Depok. J Keperawatan Indones [Internet] 2016;19(3):161–8. Available from: http://jki.ui.ac.id/index.php/jki/article/view/469 doi :10.7454/jki.v19i3.469
  30. Purbohastuti A. Efektivitas media sosial sebagai media promosi. Tirtayasa Ekon [Internet] 2017;12(2):212–31. Available from: https://jurnal.untirta.ac.id/index.php/JTE/article/download/4456/3213
  31. Iswanto F, Rianti E, Musthofa SB. Faktor-faktor yang Berhubungan Dengan Perilaku Pencegahan Filariasis Pada Masyarakat di Kecamatan Bonang Kabupaten Demak. J Kesehat Masy [Internet] 2017;5(5):990–9. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/download/19227/18254 doi :10.1017/CBO9781107415324.004
  32. Yuziani Y, Rahayu MS. Hubungan Sikap Masyarakat Dengan Kepatuhan Pengobatan Massal Filariasis Di Kecamatan Baktiya Aceh Utara. AVERROUS J Kedokt dan Kesehat Malikussaleh [Internet] 2020;6(1):29. Available from: https://ojs.unimal.ac.id/index.php/averrous/article/view/2660/1646 doi :10.29103/averrous.v6i1.2625
  33. Isabella I, Fitriangga A, Natalia D. Determinan Kepatuhan Minum Obat Anti filariasis pada Masyarakat Desa Selat Remis Kecamatan Teluk Pakedai. J Kesehat Khatulistiwa [Internet] 2018;4(2):640–56. Available from: http://jurnal.untan.ac.id/index.php/jfk/article/view/32947
  34. Kusi C, Steinmann P, Merten S. The fight against lymphatic filariasis: Perceptions of community drug distributors during mass drug administration in coastal Kenya. Infect Dis Poverty [Internet] 2020;9(1). Available from: https://pubmed.ncbi.nlm.nih.gov/32114985/ doi :10.1186/s40249-020-0638-1
  35. Njomo DW, Kibe LW, Kimani BW, Okoyo C, Omondi WP, Sultani HM. Addressing barriers of community participation and access to mass drug administration for lymphatic filariasis elimination in coastal kenya using a participatory approach. PLoS Negl Trop Dis [Internet] 2020;14(9):1–22. Available from: http://dx.doi.org/10.1371/journal.pntd.0008499 doi :10.1371/journal.pntd.0008499
  36. Hendri J, Ipa M, Ginandjar A, Yuliasih Y, Astuti EP. Intervensi Kader Dalam Mendukung Program Pemberian Obat Massal Pencegahan (POMP) Filariasis Di Kecamatan Cibeureum Dan Cibingbin, Kabupaten Kuningan, Provinsi Jawa Barat. J Ekol Kesehat [Internet] 2018;17(1):31–40. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/jek/article/view/138 doi :10.22435/jek.17.1.138.31-40
  37. Titaley CR, Damayanti R, Soeharno N, Mu’Asyaroh A, Bradley M, Lynam T, et al. Assessing knowledge about lymphatic filariasis and the implementation of mass drug administration amongst drug deliverers in three districts/cities of Indonesia. Parasites and Vectors [Internet] 2018;11(1):1–14. Available from: https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-018-2881-x doi :10.1186/s13071-018-2881-x
  38. Roy RN, Sarkar AP, Misra R, Chakroborty A, Mondal TK, Bag K. Coverage and awareness of and compliance with mass drug administration for elimination of lymphatic filariasis in Burdwan district, West Bengal, India. J Heal Popul Nutr [Internet] 2013;31(2):171–7. Available from: https://pubmed.ncbi.nlm.nih.gov/23930334/ doi :10.3329/jhpn.v31i2.16380
  39. Setyawati M, Ginandjar P, Dian SL, Martini M. Gambaran Praktik Kepatuhan Minum Obat Dalam Pengobatan Massal Filariasis Limfatik Putaran Kedua di Wilayah Kerja Puskesmas Leyangan Kabupaten Semarang. J Kesehat Masy [Internet] 2020;8(2):127–35. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/26351
  40. Krentel A, Damayanti R, Titaley CR, Suharno N, Bradley M, Lynam T. Improving Coverage and Compliance in Mass Drug Administration for the Elimination of LF in Two ‘Endgame’ Districts in Indonesia Using Micronarrative Surveys. PLoS Negl Trop Dis [Internet] 2016;10(11):1–22. Available from: https://pubmed.ncbi.nlm.nih.gov/27812107/ doi :10.1371/journal.pntd.0005027
  41. Annashr NN, Amalia IS, Phuong Dinh HT. Low knowledge and unawareness of the health promotion as the determinant factors in non-compliance to the mass drug administration program. Kesmas [Internet] 2021;16(1):39–44. Available from: https://journal.fkm.ui.ac.id/kesmas/article/view/3271 doi :10.21109/KESMAS.V16I1.3271
  42. Krentel A, Gyapong M, McFarland DA, Ogundahunsi O, Titaley CR, Addiss DG. Keeping communities at the centre of efforts to eliminate lymphatic filariasis: Learning from the past to reach a future free of lymphatic filariasis. Int Health [Internet] 2021;13(1):S55–9. Available from: https://academic.oup.com/inthealth/article/13/Supplement_1/S55/6043672 doi :10.1093/inthealth/ihaa086

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